title: Essure transcervical tubal sterilization: a 5-year x-ray follow up.
abstract: OBJECTIVE
  To evaluate the x-ray appearance of Essure microinserts 5 years after their insertion.
  
  
  METHODS
  Prospective controlled study.
  
  
  METHODS
  Tertiary referral centers for gynecologic care.
  
  
  METHODS
  Forty-five consecutive women with successful hysteroscopic bilateral placement of the Essure devices and postprocedure satisfactory hysterosalpingography confirmation test.
  
  
  METHODS
  Pelvic anteroposterior x-ray.
  
  
  METHODS
  Stability and and symmetric appearance of Essure microinsert positions; measurement of the intrauterine distance between the two devices.
  
  
  RESULTS
  After 5 years from their placement, no detachment nor fracture of devices was observed. x-Ray recognition of the device after 5 years showed findings similar to those recorded at 3 months' follow-through hysterosalpingography.
  
  
  CONCLUSIONS
  x-Ray evaluation of findings related to stability of position, symmetric appearance, and distance between the two Essure microinserts corroborates the irreversibility and the reliability of the fibrotic reaction that ensured tubal occlusion after devices placement.
authors.affiliation: Palagi Freestanding Unit, Florence, Italy.
authors.forename: Mario
authors.initials: M
authors.lastname: Franchini
authors.forename: Cecilia
authors.initials: C
authors.lastname: Boeri
authors.forename: Stefano
authors.initials: S
authors.lastname: Calzolari
authors.forename: Alberto
authors.initials: A
authors.lastname: Imperatore
authors.forename: Luciano
authors.initials: L
authors.lastname: Cianferoni
authors.forename: Pietro
authors.initials: P
authors.lastname: Litta
authors.forename: Giovanna
authors.initials: G
authors.lastname: Giarrè
authors.forename: Irene
authors.initials: I
authors.lastname: Zerbetto
authors.forename: Irene
authors.initials: I
authors.lastname: Moncini
authors.forename: Pasquale
authors.initials: P
authors.lastname: Florio
mesh_terms: D000328:Adult; D002584:Cervix Uteri; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007047:Hysterosalpingography / Q000379:methods; D058736:Intrauterine Device Migration; D007434:Intrauterine Devices; D010388:Pelvis / Q000000981:diagnostic imaging*; D015203:Reproducibility of Results; D013246:Sterilization, Tubal / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods* / Q000592:standards; D013997:Time Factors; D014965:X-Rays